The ACA after 10 years: Repair or replace?

ACA's biggest impact on health yet to be seen

Many say the ACA’s biggest impact on healthcare is likely to be seen over the next several years as the demand to bolster the country’s primary-care delivery system increases.

Andy Slavitt

CMMI nudges providers toward value, but progress is limited

The CMS Innovation Center has helped providers move toward value-based payment, but experts say it needs to do more to transform the healthcare delivery system.

The medical loss ratio's mixed record

Did the “80/20 rule” do more harm than good? Forcing insurers to spend a minimum percentage of money on medical care has produced billions in consumer rebates but may have encouraged higher medical spending.

Quality experts call for HHS to revive the National Quality Strategy 10 years after ACA

The Affordable Care Act mandated that HHS create a strategy for the nation that would serve as a road map to improve healthcare quality, but for various reasons it was never completed.

Dr. Sharon Levine
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10 years after inception, industry backs the federal research institute

The formation of the Patient-Centered Outcomes Research Institute, known as PCORI, was once one of the most controversial elements of the Affordable Care Act.

Interns attend a panel discussion at Mount Sinai’s Icahn School of Medicine
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Mount Sinai boosts diversity with education programs

As competition to recruit and retain a more diverse workforce has increased, Mount Sinai Health System has found success by making investments that expand the entire pool of candidates.

Dr. Ezekiel Emanuel
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Q&A: Dr. Ezekiel Emanuel assesses the ACA's impact 10 years later

Dr. Ezekiel Emanuel gives the landmark law credit for driving significant change across the industry, including putting a dent in spending. But there’s room to make improvements, he said.

Sen. Ted Cruz
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The Affordable Care Act has failed the American people

Ten years ago this month, President Barack Obama signed the Affordable Care Act into law, putting Washington bureaucrats at the helm of one of the most deeply personal aspects of our lives: healthcare.

Kathleen Sebelius
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The Affordable Care Act works, and we have the data to prove it

After a decade of seemingly endless calls to “repeal and replace” the law and an assault by the current administration, the legal framework nevertheless remains in place.

Aurora Aguilar
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If the ACA is struck down with no replacement, then what?

The last time I was able to ask a federal official whether there was a replacement plan was August 2019 and I was told one was coming soon. Seven months and one pandemic later, it’s states and providers that are figuring out ways to keep the uninsured healthy.

Carladenise Edwards
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Experience with diversity provides tools to build an inclusive culture

To break down biases and create the environments required to build better healthcare systems, we must acknowledge one of the root causes of bias: lack of knowledge or experience.

Money and stethoscope
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Data Points: ACA outcomes vary

The sweeping Affordable Care Act scored some wins on the coverage and cost side, but emergency departments got busier instead of seeing fewer patients. Some experts had anticipated a drop in ED visits due to improved access to preventive care.

Parkland Health & Hospital System in Dallas
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Intergovernmental transfers in practice and theory

Parkland Health & Hospital System in Dallas administers one of Texas’ 28 local provider participation funds that generate a portion of the state’s share of Medicaid matching payments.